<div>
<h3>Partenaire</h3>
<table>
	<tbody>
		<tr>
			<td>Vous recherchez des &eacute;tudiants alternants, devenez partenaires de l'Insta.</td>
		</tr>
		<tr>	
			<td>Inscrivez-vous ci-dessous pour publier vos offres d'emploi</td>
		</tr>
		<tr>	
			<td>Information sur vous</td>
		</tr>
		<tr>
			<td>Nom</td>
			<td><input type="text" /></td>
		</tr>
		<tr>
			<td>Pr&eacute;nom</td>
			<td><input type="text" /></td>
		</tr>
		<tr>
			<td>Soci&eacute;t&eacute;</td>
			<td><input type="text" /></td>
		</tr>
		<tr>
			<td>Adresse email</td>
			<td><input type="text" /></td>
		</tr>
		<tr>
			<td>Num&eacute;ro de t&eacute;l&eacute;phone</td>
			<td><input type="text" /></td>
		</tr>
		<tr>	
			<td>Information sur le poste</td>
		</tr>
		<tr>
			<td>Descriptif du poste</td>
			<td><input type="text" /></td>
		</tr>
		<tr>
			<td>Mission</td>
			<td><textarea rows="5" cols="20" name="quote" wrap="physical"></textarea>
		</tr>
		<tr>
			<td>R&eacute;gion</td>
			<td><input type="text" /></td>
		</tr>
		<tr>
			<td>R&eacute;mun&eacute;ration</td>
			<td>    
				<FORM>
				    <SELECT name="nom" size="1">
				    <OPTION>< 900&#x20AC;
				    <OPTION>900-1200&#x20AC;
				    <OPTION>> 1200&#x20AC;
				    </SELECT>
    			</FORM>
			</td>
		</tr>
		
		<tr>
			<td colspan="2"><input value="annuler" type="submit" /></td>
			<td colspan="2"><input value="envoyer" type="submit" /></td>
		</tr>
	</tbody>
</table>
</div>